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What if blogs were run like a paper medical record system?

Health Technology

June 20, 2010

I always find it very ironic to see doctors bashing EMR on the Internet. They are bashing a tool designed to gather and organize information, improve communication, and give immediate access to important information, while using a tool that gathers and organizes information, improves communication, and gives immediate access to important information.

It is fine to bash the current state of EMR (I saw one site complain that EMRs have a …

C. Diff and how dentists overuse antibiotics

Michael Kirsch, MD

Medications

June 20, 2010

Why do dentists prescribe antibiotic prophylaxis so often?

Because they can.

Why am I dissing my dental colleagues? Because I can.

Perhaps, this is a simple case of dental envy, since their profession remains within secure borders far beyond the health care reform line of fire. Consider these dental incidentals:

• Not a syllable in the ~2000 page health care reform law that affects dentists. Every filling is still worth its weight in gold
• …

Indoor tanning is associated with melanoma

MedPage Today

Conditions and Diseases

June 20, 2010

by Michael Smith

Indoor tanning is associated with a 74% higher risk of melanoma, researchers said.

And, in a large case-control study, some forms of indoor tanning machines were associated with a four-fold increase in the risk of skin cancer, according to DeAnn Lazovich, PhD, of the University of Minnesota, and colleagues.

The risk rose in a dose-response fashion depending on years of use, hours of use, or number of sessions, Lazovich and …

Fracture risk with Prilosec and other proton pump inhibitors

Matthew Mintz, MD

Medications

June 19, 2010

The FDA released a Drug Safety Communication warning about a possible risk of increased fractures with acid blocking medications called proton pump inhibitors or PPIs.

PPIs have been a major advance in medical science. Prior to these and earlier medications, the treatment for severe gastroesophageal reflux disease (GERD) was major surgery. PPIs are now commonly prescribed for GERD and less serious heart burn, many are generic, and some are now sold …

Radiation or watchful waiting for prostate cancer treatment?

Charles Bankhead

Conditions and Diseases

June 19, 2010

by Charles Bankhead

There is still not enough evidence to show that radiation therapy for localized prostate cancer is better than surveillance, according to a report prepared for the Centers for Medicare and Medicaid Services (CMS).

Only retrospective analyses have compared irradiation with no treatment or no initial treatment. Data comparing the relative efficacy of different types of radiation therapy also are insufficient to permit definitive conclusions regarding efficacy, safety, and toxicity, …

Return control of our health system back to doctors and patients

Kevin

Health Policy

June 19, 2010

by William Lawson, MD

Representative David Price recently wrote the Chapel Hill News to “set the record straight” regarding Washington’s newly‐passed health care legislation.

Rep. Price argues that the government’s central planning will make health insurance more affordable for small businesses and individuals. Touting tax credits covering 35% of premiums for small businesses with less than 25 employees and less than $50,000 in average annual wages, Rep. Price asserts that the new …

8 insomnia tips to help you fall asleep without drugs

Jill of All Trades, MD

Conditions and Diseases

June 19, 2010

Difficulty with sleep is one of the most common patient complaints presenting to the primary care office.

Chances are, you will suffer from difficulty with insomnia at some point in your lifetime. It can be distressing, and cause difficulty with functioning during your wake hours. The first thing you may want to do is to run to the doctor for a prescription for a medication to help you sleep.

However, you don’t …

Heart catheterization worries that every cardiologist face

John Mandrola, MD

Physician

June 18, 2010

Malpractice and heart catheterization have been in the news recently.

A spicy concoction for sure. An epidemiological study published in an online subsidiary of Circulation addresses the role of three major medical issues facing cardiologists today: malpractice, heart catheterization, and medical costs.

It is hard to get more controversial.

Heart catheterization, the invasive assessment of the coronary artery lumen, has always been a hot-potato topic. The “percent-normal” was the buzz word when I …

Should prisons require co-pays for inmate health care?

Jeffrey Knuppel, MD

Patient

June 18, 2010

In the U.S., correctional facilities are required by law to provide inmates with access to medical care. As health care costs have spiraled out of control everywhere, jails and prisons have attempted to develop innovative ways of reducing this hefty financial burden while simultaneously meeting their legal obligation to provide care.

One approach that has gained significant popularity in recent years is to require inmates to pay a small fee, usually …

Gay men and whether they should donate blood

MedPage Today

Conditions and Diseases

June 18, 2010

by Michael Smith

It’s time to revisit the touchy issue of gay men and blood donation now that accurate HIV testing is widely available, Canadian researchers argue.

The lifetime ban on giving blood for men who have had sex with other men was justified in 1983 when HIV testing was relatively insensitive but can no longer be supported, according to Mark Wainberg, PhD, and colleagues at Montreal’s …

Why abstinence only sex education is a waste of money

Naomi Freundlich

Patient

June 18, 2010

Since 1992, the federal government has spent close to $1 billion on abstinence-only sex education, despite growing evidence that these ideology-based programs are ineffective in delaying the onset of sexual activity, preventing teen pregnancy and the spread of sexually-transmitted disease among teens.

Meanwhile, comprehensive sex education—the kind where teens are given information about both abstinence and contraceptives—has received virtually no federal funding.

That’s why it was so encouraging when President Obama released …

Tips for students who want to shadow doctors

Vineet Arora, MD

Medical Education

June 17, 2010

On a recent Saturday, I rounded in the hospital. I met up with Zainab, the president of the minority premed association for the University of Chicago, who asked to shadow me. While she was doing research at the hospital, she had not ever rounded in the hospital before. It was Saturday so our team was mostly off so it was just me and my very capable resident who is about …

Measles from rejecting vaccines, and the price society pays

Amy Tuteur, MD

Physician

June 17, 2010

Vaccine rejectionism is based on a profound lack of knowledge about immunology, statistics and science. Virtually every single empirical claim of vaccine rejectionism is factually false, but parents who lack even the most basic understanding of immunology are often incapable of evaluating those empirical claims.

Indeed, those parents most likely to proclaim themselves “educated” on the topic are generally the most ignorant.

A new paper on a recent measles outbreak, Measles Outbreak …

E-mail can screen college students for depression

Kristina Fiore

Patient

June 17, 2010

by Kristina Fiore

E-mail may be a simple and cheap way to screen college students for depression, but it’s not likely to motivate them to seek treatment, researchers said.

A commonly-used depression screening tool sent in e-mail blasts to students at four colleges put the prevalence of major depressive disorder at 14.5%, Irene Shyu, MD, of Massachusetts General Hospital in Boston, and colleagues reported at a poster session at the American Psychiatric …

Physicians need to focus on wellness to prevent burnout

Aldebra Schroll, MD

Physician

June 16, 2010

I recently received a bulletin from one of the medical societies to which I belong: the topic was on promoting physician wellness.

My first reaction, “It’s about time “. Historically physicians have struggled with multiple health impacts from the demands of their work, with higher rates of depression, anxiety and suicide than in the general population. Physicians train under circumstances of extreme stress often resulting in unhealthy coping strategies; strategies frequently …

Why a doctor chose OB over family practice

Kevin

Physician

June 16, 2010

by RH+, MD

More than anything in life I wanted to be a family practitioner (FP).

Going into medical school there was little doubt in my mind that this was my chosen path. I chose a school that had a significant focus on primary care and was president of the Family Practice Club my second year. I had shadowed several FPs and truly enjoyed the continuity of care that went into FP.

When …

Multiple vaccines in infants are harmful, a theory disproved

MedPage Today

Medications

June 16, 2010

by John Gever

Worries that cramming multiple vaccinations into the first months of life slows brain development have no basis in fact, researchers said.

There was no evidence of neurodevelopmental delays or deficits associated with on-time vaccination in an intensively studied cohort of more than 1,000 children, according to Michael J. Smith, MD, and Charles R. Woods, MD, of the University of Louisville, in the June issue of Pediatrics.

“These data may reassure …

Do large hospital systems increase healthcare costs?

Roy Poses, MD

Health Policy

June 16, 2010

In Rhode Island, hospitals that are part of hospital systems were paid more for the same services than independent hospitals.

The price differences could not be explained by quality of care or severity of illness. The results suggested that market power determines the price of hospital services, and that increasing concentration of power in hospital networks is likely to further increase costs, without improving quality of care.

Recently, a similar report out of the neighboring state …

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